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\--14_TP9c64s. <br />SALJOAQUIN <br />COUNTY- <br />' Greatness grows here <br />Environmental Health Department <br />111 Stove Pipe COMPLETION EIChristie Box Public Water System Onsite: 0 Yes 0No <br />Ground Surface <br />casing <br />height <br />ABOVE-GROUND <br />COMP LET 10 N CHFUSTY-BOX <br />COMPLETION <br />Domestic Well Onsite: 0 Yes 0 No <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Monitoring Well/Soil Boring Inspection Report <br />Date:on C., Inspector: L,AI, I. CONSTRUCTION <br />Facility Address: .../g< Ckr15.10Pr 1/iJ1 ' <br />Well Address: <br />WP# ()butt 9 L5 Well#: <br />Soil Boring#: <br />La-if/top. <br />Consultant: <br />Geologist: <br />Ri cA-t <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />From: <br />From: <br />From: <br />From: <br />Min 2" Annular EHD Seal Verified: Li Yes EINo <br />To: <br />To: <br />To: <br />To: <br />Screening Method: <br />Verified Chain of Custody: 0 Yes 0No <br />SPOILS <br />Contamination Noted: 0 Yes El No <br />If yes, spoils storage Location: <br />Covered: 0 Yes 0No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: 451)-k-. <br />Depth to Water: <br />Grout Material: npa aligreak- <br />Gallons of Grout Used: <br />Well Installation 0 Well Destruction <br />Boring Installation i3.Boring Destruction <br />METHOD USED <br />111Pressure Grout 00ver Drill <br />CI Gravity -KTremie 00ther: <br />Water <br />gallons <br />Cement 47Ib <br />Bags <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest # Bags Thickest Thinnest flags <br />2.5 5 1" 5 10 1 <br />5 10 2 10 20 2 <br />7.5 15 3 ---- 15 30 3 <br />10 20 4 t/ 20 40 4 <br />12.5 25 5 1/ 25 50 5 <br />15 30 6 ir 30 60 6 <br />17.5 35 7 v 35 70 7 <br />20 40 8 -/ 40 80 8 <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet Screen Feet <br />Slot Size: <br />Bags of Cement: <br />Bags Sand/Gravel: <br />Type/Brand of Bentonite: <br />Filter Pack Type/Size: <br />Type of Method: <br />BentonitelCement Mix 3% Mix 5% Mix <br />Bentonite per 47 lb 1.41 2.47 <br />Bentonite per 94 lb 2.82 4.7 <br />10/16/2017 <br />5 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sicehd.com <br />Drilling Company: <br />Driller Onsite: <br />Total Depth: <br />Drilling Rig Type: